Attestasiya varaqasi

O‘zbekiston Respublikasi Farg‘ona viloyati _______________________ (shahar) tumani

_______________________________________________________________________
(Ta’lim muassasasi nomi yoki raqami)
ATTESTASIYA VARAQASI
_____________________________________________________________________________________
(pedagog kadrning familiyasi, ismi, otasining ismi)
Tug‘ilgan yili, kuni va oyi _________________________________________________________________________
Ma’lumoti _______________________________________________________________ ______________________

(ta’lim olgan muassasasi nomi) (tamomlagan yili)

Tasniflash bo‘yicha _______________________________________________________________________________

(tayyorlov yoki ta’lim yo‘nalishi, mutaxassisligi yoki ixtisosi nomi)

Ilmiy darajasi yoki ilmiy unvoni ___________________________________________________________________
Pedagogik staji _________________________
Amaldagi malaka toifasi yoki lavozimi bo‘yicha ish staji ______________ yil;
Shu jumladan mazkur ta’lim ta’lim muassasasida ___________________ yil;
Malakasini oshirgan ta’lim muassasasi nomi, vaqti _________________________________________
__________________________________________________________________________________ (malaka oshirgan sohasi: kasbiy, axborot yoki pedagogik texnologiyalar va boshqa mavzularda)
Mukofotlari _______________________________________________________________________________________
Komissiya qarori _________________________________________________________________________________
___________________________________________________________________________________________________(to‘liq yoziladi)

Komissiya raisi: Saxibova Feruza Askerovna __________________

(imzo)

Komissiya raisining

o‘rinbosari: Alimova Sayyora Abdunabiyevna __________________

(imzo)
Komissiya kotibi: Soliyeva Mahliyo Abduxalilovna __________________

(imzo)
Komissiya a’zosi: Qosimova Ezozxon Alijonovna __________________

(imzo)
Komissiya a’zosi: Ahmedova Lola Xorunovna __________________

(imzo)
Komissiya a’zosi: Mirzamatova Barno Vohitjonovna __________________

(imzo)

Komissiya a’zosi: Mirzayeva Feruza Azizovna _________________

(imzo)